医学新知2026，Vol.36Issue(3)：355-360,6.DOI:10.12173/j.issn.1004-5511.202602041
单孔与三孔腹腔镜完全腹膜外疝修补术治疗腹股沟疝的临床疗效和安全性分析
Analysis of the clinical efficacy and safety of single-port versus three-port totally extraperitoneal repair in the treatment of inguinal hernia
摘要
Abstract
Objective To compare and analyze the clinical efficacy and safety of single-port laparoscopic totally extraperitoneal repair(SILS-TEP)versus three-port TEP in the treatment of inguinal hernia.Methods A retrospective study was conducted on patients with inguinal hernia admitted to Zhengzhou Central Hospital Affiliated to Zhengzhou University from May 2024 to April 2025.The patients were divided into the SILS-TEP group and the three-port TEP group according to the surgical method received.The clinical efficacy and safety of the two groups were analyzed and compared.Results A total of 80 patients with inguinal hernia were included,with 40 patients in each group.There were no statistically significant differences in intraoperative blood loss,length of hospital stay,or recurrence rate between the two groups(P>0.05).The SILS-TEP group had longer operation time and higher hospitalization costs than the three-port TEP group(P<0.05).However,the postoperative pain score and complication rate of the SILS-TEP group were lower than those of the three-port TEP group,and the incision satisfaction rate was higher(P<0.05).Conclusion Both SILS-TEP and three-port TEP are safe and effective for the treatment of inguinal hernia.SILS-TEP has advantages in minimally invasive cosmetic effect and pain control.Although the operation time is relatively long,its overall clinical value is significant.关键词
腹股沟疝/单孔腹腔镜完全腹膜外疝修补术/三孔腹腔镜完全腹膜外疝修补术/临床疗效Key words
Inguinal hernia/Single-port laparoscopic totally extraperitoneal repair/Three-port laparoscopic totally extraperitoneal repair/Clinical efficacy分类
医药卫生引用本文复制引用
王可依,吴冲,郭幸沛,刘寒松,高磊..单孔与三孔腹腔镜完全腹膜外疝修补术治疗腹股沟疝的临床疗效和安全性分析[J].医学新知,2026,36(3):355-360,6.基金项目
河南省科技攻关计划联合共建项目(LHGJ20250668) （LHGJ20250668）
